Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Internal Medicine


Dr. Thomas Colletti


Obstructive sleep apnea (OSA) affects a predicted 22 million people in the United States with 80% of moderate to severe cases being undiagnosed.1 It has been shown that uncontrolled OSA can have an effect on cardiovascular health, specifically heart failure and recurrence of atrial fibrillation, as well as daytime alertness and quality of life.1,2 Continuous positive airway pressure (CPAP) is the primary treatment for OSA; CPAP is a nasally applied device that provides constant positive pressure that keeps the upper airway open while an individual is sleeping.3 Compliance with CPAP is a continuous battle medical providers fight, and many patients opt not to wear their CPAP complaining about comfort and convenience.4OSA is a national health epidemic; therefore, it is important to risk stratify patients while they are admitted in the hospital. Whether the hospital admission be for cardiovascular problems or not, if a person fits the demographics or voices a concern for having sleep apnea, health providers need to consult an inpatient sleep service or provide patient with an outpatient follow-up appointment. Addressing patients with sleep concerns who may be experiencing OSA while they are in the hospital helps to further treat a health issue that can affect the larger picture of a patient’s health. OSA control can help prevent exacerbations of further health issues and keep patients out of the hospital.

Keywords: Obstructive sleep apnea, cardiovascular, continuous positive airway pressure


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